I bill for an optometrist. He co-manages cataract surgery post op care with a local ophthalmology group. It is typical for a patient to have surgery performed on the second eye before the 90 day global period for the first surgery has ended. For years, I have billed these claims in a particular format and they have been paid. Now I am suddenly getting denial code 107 for the second surgery for a patient. Has something changed?
I called our Medicare representative who advised me that certain information was not showing up on their end. I then contacted the clearinghouse company that processes our electronic claims, relayed the information from Medicare to them, made the recommended changes to the claim and resubmitted it only to get the exact same denial. Can anybody help me